Jackson, Douglene J

Jackson, Douglene J is an individual health care provider with primary practice located at 240 Nw 207Th Way , Pembroke Pines FL 33029-3509. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jackson, Douglene J can be contacted via phone (678) 472-3201.

Contact Information

Primary practice address
240 Nw 207Th Way Pembroke Pines FL 33029-3509
Phone: (678) 472-3201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA29727 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003627 Georgia
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT10451 Florida

Profile Details

NPI number 1275655482
LBN Legal business name Jackson, Douglene J
Credentials PHD, OTR/L, LMT, ATP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Sep 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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